Severe rhabdomyolysis due to adipsic hypernatremia after craniopharyngioma surgery
The association of diabetes insipidus and adipsia after craniopharyngioma surgery has high morbidity. Hypernatremia can be caused by adipsia and be aggravated by diabetes insipidus. Rhabdomyolysis rarely occurs. DASE REPORT: This is the first report of a diabetic patient with craniopharyngioma who developed diabetes insipidus and adipsia after surgery, evolving with severe hypernatremia that caused considerable rhabdomyolysis. CONCLUSION: The importance of the evaluation of muscle integrity when under hypernatremic states is pointed out. Although adipsia may have a simple solution through volunteer water ingestion, serious consequences such as repeated severe hypernatremia episodes and intense rhabdomyolysis with high morbidity could occur, if adipsia is not diagnosed.
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Sociedade Brasileira de Endocrinologia e Metabologia
2007
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oai:scielo:S0004-273020070007000232007-12-17Severe rhabdomyolysis due to adipsic hypernatremia after craniopharyngioma surgeryZantut-Wittmann,Denise E.Garmes,Heraldo MendesPanzan,Anita DenardoLima,Marcelo de OliveiraBaptista,Maria Tereza Matias Rhabdomyolysis Adipsia Hypernatremia Craniopharyngioma Diabetes insipidus The association of diabetes insipidus and adipsia after craniopharyngioma surgery has high morbidity. Hypernatremia can be caused by adipsia and be aggravated by diabetes insipidus. Rhabdomyolysis rarely occurs. DASE REPORT: This is the first report of a diabetic patient with craniopharyngioma who developed diabetes insipidus and adipsia after surgery, evolving with severe hypernatremia that caused considerable rhabdomyolysis. CONCLUSION: The importance of the evaluation of muscle integrity when under hypernatremic states is pointed out. Although adipsia may have a simple solution through volunteer water ingestion, serious consequences such as repeated severe hypernatremia episodes and intense rhabdomyolysis with high morbidity could occur, if adipsia is not diagnosed.info:eu-repo/semantics/openAccessSociedade Brasileira de Endocrinologia e MetabologiaArquivos Brasileiros de Endocrinologia & Metabologia v.51 n.7 20072007-10-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302007000700023en10.1590/S0004-27302007000700023 |
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Zantut-Wittmann,Denise E. Garmes,Heraldo Mendes Panzan,Anita Denardo Lima,Marcelo de Oliveira Baptista,Maria Tereza Matias |
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Zantut-Wittmann,Denise E. Garmes,Heraldo Mendes Panzan,Anita Denardo Lima,Marcelo de Oliveira Baptista,Maria Tereza Matias Severe rhabdomyolysis due to adipsic hypernatremia after craniopharyngioma surgery |
| author_facet |
Zantut-Wittmann,Denise E. Garmes,Heraldo Mendes Panzan,Anita Denardo Lima,Marcelo de Oliveira Baptista,Maria Tereza Matias |
| author_sort |
Zantut-Wittmann,Denise E. |
| title |
Severe rhabdomyolysis due to adipsic hypernatremia after craniopharyngioma surgery |
| title_short |
Severe rhabdomyolysis due to adipsic hypernatremia after craniopharyngioma surgery |
| title_full |
Severe rhabdomyolysis due to adipsic hypernatremia after craniopharyngioma surgery |
| title_fullStr |
Severe rhabdomyolysis due to adipsic hypernatremia after craniopharyngioma surgery |
| title_full_unstemmed |
Severe rhabdomyolysis due to adipsic hypernatremia after craniopharyngioma surgery |
| title_sort |
severe rhabdomyolysis due to adipsic hypernatremia after craniopharyngioma surgery |
| description |
The association of diabetes insipidus and adipsia after craniopharyngioma surgery has high morbidity. Hypernatremia can be caused by adipsia and be aggravated by diabetes insipidus. Rhabdomyolysis rarely occurs. DASE REPORT: This is the first report of a diabetic patient with craniopharyngioma who developed diabetes insipidus and adipsia after surgery, evolving with severe hypernatremia that caused considerable rhabdomyolysis. CONCLUSION: The importance of the evaluation of muscle integrity when under hypernatremic states is pointed out. Although adipsia may have a simple solution through volunteer water ingestion, serious consequences such as repeated severe hypernatremia episodes and intense rhabdomyolysis with high morbidity could occur, if adipsia is not diagnosed. |
| publisher |
Sociedade Brasileira de Endocrinologia e Metabologia |
| publishDate |
2007 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302007000700023 |
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1756372635389788160 |